Comparing robot-assisted and conventional keyhole surgery for womb removal in endometrial cancer

Who can take part

• Patient with low-risk or intermediate-risk endometrial carcinoma (on pre-operative workup including histology on endometrial biopsy and pelvic and lumbo-aortic MRI) , i.e. patients with endometrioid-type endometrial adenocarcinoma cancer low-grade (grade 1 or 2) and pre-therapeutic FIGO stage I (FIGO classification 2023) on MRI
• Indication for minimally invasive STH (laparoscopy) given by the surgeon during the pre-op consultation
• Patient accepts the matching of pseudonymized data with the French National Health Data System (SNDS)
• Major patient
• Patient having received information on the protocol and having signed a consent form, thus accepting randomization in the robot-assisted intervention group versus conventional laparoscopy; Non Inclusion Criteria:
• Patient operated on by a surgeon with less than 30 cases of robotic surgery in the last year and/or with less than 50 cases of total robotic experience at the time of patient inclusion
• Patient refuses to participate in randomized controlled trial (refuses randomization)
• The surgeon refuses the patient's participation in the randomized controlled trial (does not wish to randomize the patient)
• The center does not have a robot
• The center does not have a laparoscopic column with fluorescence
• Person under legal protection (safeguard of justice, curatorship, guardianship) or person deprived of liberty
• Patient not affiliated to a French social security scheme
• Patient participating in another interventional trial or in Jardé off-label research that impacts study data, or in RIPH3 that impacts study data
• Pregnant or breast-feeding patient
• Patient with low-risk or intermediate-risk endometrial carcinoma (on pre-operative workup including histology on endometrial biopsy and pelvic and lumbo-aortic MRI) , i.e. patient with endometrioid-type endometrial adenocarcinoma cancer low-grade (grade 1 or 2) and pre-therapeutic FIGO stage I (FIGO classification 2023) on MRI
• Indication for minimally invasive STH (laparoscopy) given by the surgeon during the pre-op consultation
• Patient accepts the matching of pseudonymized data with the French National Health Data System (SNDS)
• Major patient
• Patient not included in randomized controlled trial because :; Patient refuses to participate in randomized controlled trial (refusing randomization); The surgeon refuses the patient's participation in the randomized controlled trial (does not wish to randomize the patient); The center does not have a robot; The center does not have a laparoscopic column with fluorescence; The surgeon does not meet the required learning curve criteria (as a reminder: ≥ 30 cases of robotic surgery in the last year and with total robotic experience ≥ 50 procedures ) at the time of patient inclusion
• Patient has been informed about the protocol and has signed a consent form; Non Inclusion Criteria:
• Person under legal protection (safeguard of justice, curatorship, guardianship) or person deprived of liberty
• Patient not affiliated to a French social security scheme
• Patient participating in another interventional trial or in Jardé off-label research that impacts study data, or in RIPH3 that impacts study data
• Pregnant or breast-feeding patient
• Patient with low-risk or intermediate-risk endometrial carcinoma (on pre-operative workup including histology on endometrial biopsy and pelvic and lumbo-aortic MRI) , i.e. patient with endometrioid-type endometrial adenocarcinoma cancer low-grade (grade 1 or 2) and pre-therapeutic FIGO stage I (FIGO classification 2023) on MRI)
• STH performed during the inclusion period of the randomized controlled trial and/or the prospective cohortat a participating center, regardless of the approach used, not included in the randomized controlled trial and in the prospective cohort
• Patient not objecting to the collection and use of her data
• Patient of legal age; Non Inclusion Criteria:
• Person under legal protection (safeguard of justice, curatorship, guardianship) or person deprived of liberty
• Patient not affiliated to a French social security scheme; Surgeons :
• Surgeon performing hysterectomy on patients included in the randomized study and/or prospective cohort
• Surgeon not objecting to the collection and use of his data; Non- inclusion Criteria:; None; First surgical assistance in the field :
• First surgical assistance in the field performing hysterectomy on patients included in the randomized study and/or prospective cohort
• First surgical assistance in the field not objecting to the collection and use of his data; Non- inclusion Criteria:; None

Who cannot take part

• Minimally invasive procedure contraindicated by pre-operative anesthesia
• Patient operated on by a robot other than one of the intuitive robot variants (Si, X and Xi); Prospective cohort:
• Minimally invasive procedure contraindicated by pre-operative anesthesia
• Patient operated on by a robot other than one of the intuitive robot variants (Si, X and Xi); Retrospective cohort:

Other criteria

• Randomized Study: